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Individual

ROY DAVID MORAN GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
8975 SW 147TH AVE APT 2118, MIAMI, FL 33196-1449
(786) 720-6476
Mailing address
8975 SW 147TH AVE APT 2118, MIAMI, FL 33196-1449
(786) 720-6476

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA33449
FL

Other

Enumeration date
10/22/2024
Last updated
10/22/2024
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